PCN Physician Associate - London, United Kingdom - Greenwich PCN Alliance

Description

PCN Physician Associate

Employer Greenwich PCN Alliance Location London Salary Depending on experience £49,178 - £55,492 Closing date 29 Feb 2024

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Profession Contract Type Hours You need to or to save a job. To be responsible for the provision of a clinical service, working as part of the practice and PCN multidisciplinary team, delivering care within their scope of practice/PCN to the entitled patient population. The physician associate will be required to work autonomously providing a range of services such as assessment, diagnosis, treatment, telephone triage, clinical decision-making and referring patients appropriately, as well as supporting the management team in the reviewing of clinical policy and procedure when required.

Main duties of the job

The following are the core responsibilities of the physician associate. There may be, on occasion, a requirement to carry out other tasks this will be dependent upon factors such as workload and staffing levels. The physician associate will work within their scope of clinical practice and:

- Undertake face-to-face, telephone and online consultations for emergency or routine problems, as determined by the PCN, including management of patients with long-term conditions. Where required by the PCN, physician associates can offer specialised clinics following appropriate training including (but not limited to) family planning, baby checks, COPD, asthma, diabetes and anticoagulation.

- Identify, signpost or refer patients at risk of developing long-term conditions, preventing adverse effects on the patients health

- Undertake home visits and participate in duty rotas

- Provide routine care to patients as required in accordance with clinical based evidence, NICE and the NSF

- Examine, assess and diagnose patients & provide clinical care/ management as required

- Triage patients & provide the necessary treatment during home visits g. Collect pathology specimens as required

- Maintain accurate clinical records in conjunction with extant legislation

- Ensure read codes are used effectively

- Ensure continuity of care, arranging follow-up consultations or reviews as necessary

-Chaperone patients where necessary

- Prioritise health issues and intervene appropriately

About us

Greenwich PCN Alliance is formed of 4 PCNs across Greenwich, Blackheath and Charlton PCN, Eltham PCN, Heritage PCN and Unity PCN. A successful candidate will be allocated to one PCN and will work across that PCN only.

Job description
Job responsibilities

Job Summary:

To be responsible for the provision of a clinical service, working as part of the practice and PCN multidisciplinary team, delivering care within their scope of practice/PCN to the entitled patient population. The physician associate will be required to work autonomously providing a range of services such as assessment, diagnosis, treatment, telephone triage, clinical decision-making and referring patients appropriately, as well as supporting the management team in the reviewing of clinical policy and procedure when required.

Primary Responsibilities:

The following are the core responsibilities of the physician associate. There may be, on occasion, a requirement to carry out other tasks this will be dependent upon factors such as workload and staffing levels. The physician associate will work within their scope of clinical practice and:

- Undertake face-to-face, telephone and online consultations for emergency or routine problems, as determined by the PCN, including management of patients with long-term conditions. Where required by the PCN, physician associates can offer specialised clinics following appropriate training including (but not limited to) family planning, baby checks, COPD, asthma, diabetes and anticoagulation.

- Identify, signpost or refer patients at risk of developing long-term conditions, preventing adverse effects on the patients health

- Undertake home visits and participate in duty rotas

- Provide routine care to patients as required in accordance with clinical based evidence, NICE and the NSF

- Examine, assess and diagnose patients and provide clinical care/ management as required

Triage patients and provide the necessary treatment during home visits g. Collect pathology specimens as required

- Maintain accurate clinical records in conjunction with extant legislation

- Ensure read codes are used effectively

- Ensure continuity of care, arranging follow-up consultations or reviews as necessary

- Review the effectiveness of the treatment provided, making changes where necessary to improve patient outcomes

- Chaperone patients where necessary

- Prioritise health issues and intervene appropriately

- Recognise, assess and refer patients presenting with mental health needs

- Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice)

- Liaise with external services/agencies to ensure that the patient is supported appropriately (vulnerable patients etc.)

- Ensure that they adhere to the relevant patient group directives and local clinical pathways at all times

- Support the clinical team with all safeguarding matters, in accordance with local and national policies

- Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

- Deliver opportunistic health promotion where appropriate

Secondary Responsibilties:

In addition to the primary responsibilities, the physician associate may be requested to:

- -Support the PCN audit programme, undertaking audits when necessary

- -Support junior members of the team, providing guidance when necessary

- -Participate in local initiatives to enhance service delivery and patient care

- -Support and participate in shared learning within the practice

- -Continually review clinical practices, responding to national policies and initiatives where appropriate

- -Participate in the review of significant and near-miss events applying a structured approach, i.e. root cause analysis (RCA)

- -Work in accordance with PCN policies, including the equal opportunities policy and practice.

- -Participate in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework.

- Work with due regard to the Health and Safety Policies across the PCN, ensuring that all practices and procedures are undertaken in accordance with issued guidelines

- -Take personal responsibility for own learning and development, including the requirement to maintain currency, achieving all targets set in their Personal Development Plan (PDP)

Generic Responsibilities:

All staff at Greenwich PCN Alliance have a duty to conform to the following:

Equality, diversity and inclusion:

A good attitude and positive action towards ED& I creates an environment where all individuals are able to achieve their full potential.Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and to be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

Greenwich PCN Alliance is committed to supporting and promoting opportunities for staff to maintain their health, well-being and safety.You have a duty to take reasonable care of health and safety at work for you, your team and others and to cooperate with employers to ensure compliance with health and safety requirements.All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

Greenwich PCN Alliance is committed to maintaining an outstanding confidential service.Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care.They do so in confidence and have a right to expect that all staff will respect their privacy and maintain confidentiality at all times.It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff protect patient information and provide a confidential service.

Quality and continuous improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it.By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice/PCN to look for opportunities to improve quality and share good practice.

Greenwich PCN Alliance continually strives to improve work processes which deliver health care with improved results across all areas of our service provision.We promote a culture of continuous improvement where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and to enhance patient care.

Induction training

All personnel are to complete a practice induction programme. This is managed by the Business manager.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role.All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the PCN training programmes.Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately enable them to improve processes and service delivery.

Collaborative working

All staff are to recognise the significance of collaborative working.Team work is essential in multidisciplinary environments.Effective communication is essential and all staff must ensure that they communicate in a manner which enables the sharing of information in an appropriate manner.

Service delivery

Staff at Greenwich PCN Alliance must adhere to the information contained within practice/PCN policies and regional directives, ensuring that protocols are adhered to at all times.Staff will be given detailed information during the induction process regarding policy and procedure.

Professional Conduct

At Greenwich PCN Alliance, staff are required to dress appropriately for their role.Administrative staff will be provided with a uniform whilst clinical staff must dress in accordance with their role.

Leave

All personnel are entitled to take leave.Managers are to ensure all of their staff are afforded the opportunity to take a minimum of 25 days leave each year pro rata and should be encouraged to take all of their leave entitlement.

Person Specification
Qualifications
Essential

Post graduate diploma or degree (physician associate)

Member of Physician Associate Managed Voluntary Register

Other Requirements
Essential

Flexibility to work outside of core office hours

Disclosure Barring Service (DBS) check

Occupational Health Clearance

Personal Qualities
Essential

Polite and confident

Flexible and cooperative

Motivated, forward thinker

Problem solver with the ability to process information accurately and effectively, interpreting data as required

High levels of integrity and loyalty

Sensitive and empathetic in distressing situations

Ability to work under pressure/in stressful situations

Effectively able to communicate and understand the needs of the patient

Commitment to ongoing professional development

Effectively utilise resources

Punctual and committed to supporting the team effort

Clinical knowledge & skills
Essential

Ability to effectively triage, assess and diagnose

Wound Care

ECGs

Chaperone procedure

Requesting pathology tests and processing the results, advising patients accordingly

Diabetes

Hypertension

Asthma

Spirometry

CHD

Immunisations (routine, childhood and travel)

Understand the importance of evidence-based practice

Broad knowledge of clinical governance

Ability to record accurate clinical notes

Ability to work within own scope of practice and understanding when to refer to GPs

Desirable

Knowledge of public health issues in the local area

Awareness of issues within the wider health arena

Knowledge of health promotion strategies

Understand the requirement for PGDs and associated policy

Experience
Essential

Experience of working in a primary care environment

Experience of working as a physician associate

Experience in triage

Experience of dealing with a range of clinical conditions

Skills
Essential

Excellent communication skills (written and oral)

Strong IT skills

Competent in the use of Office and Outlook

EMI